Evolve 
Better care. Better decision-making. Better use of resources. 

Research

RACP encourages its Advanced Trainees and Fellows to develop and conduct research projects on specific recommendations as part of specialty training and ongoing education. Outcomes from these projects can be:
   •   Presented at conferences or published in journals
   •   Adapted and implemented across health services and specialties
   •   Used as ongoing references or resources
   •   A career development opportunity

​Contact evolve@racp.edu.au if you have recently undertaken or would like to undertake research in these areas as we could potentially assist in cross-promotion or development of your projects. 

Equity

• Choosing Wisely means Choosing Equity (PDF)
  The College, through Evolve, was a major sponsor for the Choosing Wisely Means Choosing Equity Report that was commissioned by Choosing Wisely and Te Ohu Rata o Aotearoa (New Zealand). This report outlines recommendations for the College and members to consider, to ensure we are not increasing or maintaining health inequities. 

Oral Presentations by RACP Fellows and trainees on Evolve related projects

• Dr Janaka Tennakoon - Evolve PCHD and ANZCN Recommendations 2020 
• RACP Congress 2020 Evolve Session -  Prof Donald Campbell, Dr Cilla Haywood, and Mrs Debra Letica - Shared Decision Making and Low Value Care
• Bronchiolitis at a specialist paediatric centre: The electronic
  medical record helps to evaluate low-value care - Dr Joanna Lawrence et al - Journal of Paediatrics and Child Health 56 2020
• Tasmania Physicians Conference 2019 - Prof Peter Procopis - MyCPD and Evolve
• Tasmania Physicians Conference 2019 - Prof Graeme Jones - Evolve and the Australian Rheumatology Association
• IMSANZ Annual Scientific Meeting 2019 - Ian Scott on Evolve and IMSANZ - Reflections, Progress and Future Prospects
• RACP Congress 2019 Evolve Presentation - Dr Suzi Riess on Non-indicated acid suppression prescribing in a tertiary paediatric hospital: an audit and costing study
• RACP Congress 2019 Evolve Presentation - Assoc Prof Rebecca Grainger on The evolution of Evolve 
• RACP Congress 2019 Evolve Presentation - Dr Matthew Kelly on Reducing inappropriate urine testing
• SOMANZ RACP Evolve Presentation - Helen Robinson, Jul 2018 (336 KB)
• Choosing Wisely National Meeting RACP Evolve Presentation - A STATE OF FLUX: Non-indicated acid-suppression prescribing in a tertiary paediatric hospital: an audit and costing study - Dr Suzi Reiss, May 2018
• RACP European Academy of Paediatrics Presentation - Dr Sarah Dalton, May 2018 (445 KB)
• RACP Congress Evolve Presentation - Sarah Hilmer, May 2018 (3009 KB)
• Spreading the Evolve Message: Experiences of a Rural Palliative Care Physician (327 KB)
• Choosing Wisely: The Radiologist's Journey - Mark Nevin, Feb 2017 (1.59 MB)
• Development of the paediatric endocrinology Top 5 List - Fergus Cameron, Feb 2017 (507 KB)
• The role of cognitive biases in overdiagnosis and overtreatment - Ian Scott, Feb 2017 (1600 KB)
• What works to reduce low value care? - Harriet Hiscock, Feb 2017 (885 KB)

Latest Evolve Research

• Crisis as opportunity: how COVID‐19 can reshape the Australian health system - Gabriel Elan Blecher, Grant A Blashki and Simon Judkins (Sept 2020) 
• Mandrola, J., Cifu, A., Prasad, V. & Foy, A. (2019), The Case for Being a Medical Conservative, The American Journal of Medicine, Commentary, Volume 132, Issue 8, pp 900-901
• Anjara P, Liew D, Yang V, McMaster C, Buchanan R. Frequency of Performing Anti dsDNA Antibody in an ANA Negative Patient with Clinical Suspicion of SLE in a Single Centre Trial Before and After the Publication of National Guideline [abstract]. Arthritis Rheumatol. 2019; 71
  
• Awareness and self-efficacy of deprescribing and inappropriate polypharmacy in hospital clinicians’ post-completion of an online HETI module, Choosing Wisely Abstracts - Brendan Ng (p. 37, May 2018)
• Hiscock, H et al. Reducing Unnecessary Imaging and Pathology Tests: A Systematic Review. Paediatrics 141(2), Feb 2018.
• Morrisroe, K et al. EVOLVE: The Australian Rheumatology Association’s ‘top five’ list of investigations and interventions doctors and patients should question. Internal Medicine Journal 48(2018): 135-143, Oct 2017.
• Hiscock H et al. The RACP Evolve General Paediatrics List. Journal of Paediatrics and Child Health, Sep 2017.
• Scott, IA et al. Countering cognitive biases in minimising low value care. Medical Journal of Australia 206(9): 407-11, May 2017.
• Soon, J et al. Identifying low-value care: the Royal Australasian College of Physicians’ EVOLVE initiative. Medical Journal of Australia 204(5): 180-181, Mar 2016.
• Rosenburg A et al. Early trends among seven recommendations from the Choosing Wisely campaign. JAMA 175(12): 1913-1920, Dec 2015.
• Scott IA et al. In search of professional concensus in defining and reducing low-value care. Medical Journal of Australia 203(4): 179-181, Aug 2015.
• Gilwa C et al. Evidentiary Rationals for the Choosing Wisely Top 5 Lists. JAMA​ 314(14): 1443-1444, Apr 2014​.
• Scott IA. Ten clinician-driven strategies for maximising value of Austrlaian health care. Australian Health Review 38(2014): 125-133, Dec 2013.

Poster Presentations

Preventing Overdiagnosis conference

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